Organization
NURSE BROTOX AESTHETICS AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON W WHALEY RN (CEO)
(999) 999-9999
Entity
Organization
Contact information
Practice address
1835 EL CAJON BLVD STE A, SAN DIEGO, CA 92103-2591
(858) 346-8015
(858) 346-0566
Mailing address
302 WASHINGTON ST STE 415, SAN DIEGO, CA 92103-2110
(999) 999-9999
(858) 346-0566
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
—
—
Other
Enumeration date
03/20/2026
Last updated
03/23/2026
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